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In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
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Scholarly Activity During Pediatric Fellowship.

Erika L Abramson1,2, Pnina Weiss3, Monique Naifeh4

  • 1Division of General Pediatrics, Department of Pediatrics and err9009@med.cornell.edu.

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|December 2, 2020
PubMed
Summary

Pediatric fellowship programs face barriers to scholarly activity, including funding and mentorship. Enhancing research culture and potentially shortening training may improve fellow productivity and publication rates.

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Area of Science:

  • Medical Education Research
  • Pediatric Fellowship Training
  • Scholarly Activity Integration

Background:

  • Pediatric fellowships require scholarly activity, but guidance on integrating this training is lacking.
  • Understanding resources and barriers is crucial for optimizing fellowship scholarly training.
  • Identifying factors associated with productivity can improve fellow outcomes.

Purpose of the Study:

  • To assess resources and barriers to scholarly activity training in pediatric fellowships.
  • To identify factors influencing scholarly productivity among pediatric fellows.
  • To provide insights for improving fellowship program effectiveness in scholarly training.

Main Methods:

  • National survey of pediatric fellowship program directors (FPDs) in 2019.
  • Descriptive statistics and inferential tests (chi-square, Fisher's exact) were used.
  • Multivariable modeling identified factors associated with high fellow productivity (article acceptance).

Main Results:

  • 35% of programs were highly productive; major barriers included lack of funding (21%) and mentorship (16%).
  • Median protected scholarship time was 17 months; 40% favored shortening training for clinical fellows.
  • Factors associated with high productivity included T32 funding, experienced FPDs, and strong oversight committees/curricula.

Conclusions:

  • Most fellows do not publish despite protected research time, highlighting the need for a supportive research culture.
  • Re-evaluating fellowship duration may be beneficial, especially for clinically focused trainees.
  • Programmatic changes focusing on research culture and mentorship are essential for publication success.